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FRSEP 7 2001 1
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DEPT OF BUILDING INSPECTIONS
cm
MFR#063
NORTHAMPTON,MA 01060
F NFRC Simonton windows
ProFinish
_ Double Hunq - Vinyl
Low E (SC) -Argon
National Fenestration
Rating Council
•Energy savings will depend on your specific climate,house and lifestyle
•For more information,call 1—8 0 0—S 1 mo n t o n or visit NFRC's web
site at www.nfrc.org
U-Factor 0 . 50 Solar Heat Gain 0 5 ij y Bible 0 , 5 9
Coefficient Transmittance
-------------- ------------------- ----------
' 0 . 50 0 . 55 0 . 61
Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining
whole product energy performance.NFRC ratings are determined for a fixed set of environmental
conditions and specific product sizes.
. �•
D E) 5 IND: REIN A2/GLASS SS/H—K35
Test Size: 44.25 x 60
order 4#:2983273010001 F0190 OB
THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER
SOURCES AND IS NOT TO 6E CONSTRUED AS AN ACCURATE
SURVEY AND 1S NOT TO BE RECORDED.
0 T-a
oil�1I_�_y
it
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TO: NORTHAMPTON CO-OPERATIVE BANK &
LAWYERS TITLE INSURANCE CORPORATION
1 HEREBY REPORT THAT 1 HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
MONUMENTAT ON ALL EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE- LOT, LINES,
EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN
A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR
COMMUNITY # 250167
A��� —NOTE—
SURVEYOR:
THIS PLAT FOR MORTGAGE LOAN PURPOSES ONL'
AND DOES NOT CONSTITUTE A PROPERTY SURVE'
of Af. —MORTGAGE LOAN INSPECTION PLAT-
RANDALL NORTHAMPTON, MASSACHUSETTS
c IZL ER PREPARED FOR
#35032 ANNA H. KENNICK
OFEgstdr' �. SCALE: 1 "=50 ' SEPTEMBER 1'5 , 19
surr��° HAROLD L. EATON AND ASSOCIATES, INC.
.-- REGISTERED PROFESSIONAL LAND SURVEYORS
�. -1- 235 RUSSELL STREET - HADLEY - MASSACHUSE'
THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER:
SOURCES AND IS NOT TO 13E CONSTRUED AS AN ACCURATE
SURVEY AND 1S NOT TO BE RECORDED.
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(X E — s
0
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13x
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TO: NORTHAMPTON CO-OPERATIVE BANK &
LAWYERS TITLE INSURANCE CORPORATION
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
MONUMENTATION ALL EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE, LOT, LINES,
EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN
A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR
COMMUNITY # 250167
, �n —N OTE-
SURVEYOR: THIS PLAT FOR MORTGAGE LOAN PURPOSES ONL'
AND DOES NOT CONSTITUTE A PROPERTY SURVE'
of M, —MORTGAGE LOAN INSPECTION PLAT=
FALL NORTHAMPTON, MASSACHUSETTS
c DER PREPARED FOR
135032 ANNA H. KENNICK
OfEsStp� SCALE: I "=50 ' SEPTEMBER 1.5 , 19
�q�YD ZU
HAROLD L. EATON AND ASSOCIATES, INC.
REGISTERED PROFESSIONAL LAND SURVEYORS
�• --L- 235 RUSSELL STREET — HADLEY — MASSACHUSE-
4�t�PTp
Z'O t e
9 4 �Z xT '�N D1r ��11tJIItt
9 B �+rsaacknactfa'
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building '
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURAME AFFD)AVIT
(licensee/permittee)
with a principal place of business/residence at:
O� tJiLa1�a,, rY3 �� '� 01L1� (phone#) ;t 'i
(street/city/staiehip)
do hereby certify, under the pains and penalties of perjury, that.
( ) I am an employer providing the following worker's compensation coverage for my
employees working on this job:
(Insurance Company) (Policy Number) (Expiration Date)
( ) I am a sole proprietor, general contractor or homeowner(circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
+r.
(Name of Contractor) (Insurance Compahry/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Conrpauy/Policy Number) (Expiration Date)
(attach addi6ocal shod ifnaocnx y to intrude information pertaining to all con rndors)
z am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:please be nwarc that while homeowcxrs who unplay pasom to do mxkdcamc, consbixd oa or repair work on a dwelling of
not more than three units in which the homoowncr reidcs or oa the ground:appurtenant th=w arc not gaxrally considered to be
employeza under the veneer's oompe v4ca Act(GL152,s3 1(5)),application by a homeowner for a keener or permit may evidence the
legit status of an employer under the Workeet C.omgemation Azt
I understand thst a copy of this cts temcnt may be forwarded to tbo Dc mdmcn ,of I-dwbid Ao idca&Office of In%uanoa for the
coverage verification and that failure to&earn coverago under soctioa 25A of MOL 152 can lead to tho imposition of criminal pcuawes
oomisiing of a fine of up to S 1,500.00 ardor impi iso�of up to one year and civr7 pemttia in the form of a Stop Work Ocdez and a
fm of S 100.00 a day agtrinA tea
For degatmczis]use only
Permit Number
gyp- Lot#
Signature of LicenseelPermit tce te
8 1 Licensed Construction Supervisor: / Not Applicable ❑
Name of License Holder :�!l Z0.�C��1 "r\A
License Number
Address Expiration Date
Signature T phone
Not Applicable ❑
Company Name Registration Number
Address Expiration Date
Telephone Z 17, Q
SECT.I,gN 10-WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M G.L.c. 152, §25C(6)) `
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit
will result in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes....... ❑ No......
A
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families
and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts
as supervisor.CMR 780 Sixth Edition Section 108.3.5.1.
Definition of Homeowner: Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there
is,or is intended to be, a one or two family dwelling,attached or detached structures accessory to such use and/or farm
structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner.
Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit.
As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon
completion of the work for which this permit is issued.
Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to
Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated, you may be liable for person(s)
you hire to perform work for you under this permit.
The undersigned"homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of
Northampton Ordinances, State and Local Zoning Laws and State of Massachuse General Laws Annotated.
Homeowner Signature
3 tN E'SC ( 10 0` OPT ED 1N
a i able
New House ❑ Addition Y�' Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ]
Brief Description of Proposed Work:
Alteration of existing bedroom Yes k No Adding new bedroom_ Yes No
Attached Narrative❑ Renovating unfinished basement Yes )t- No
Plans Attached Roll ❑- Sheet❑
flM
100 01116118, ti t fit" �..-
he 1
a. Use of building : One Family ')( _ Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms_
c. Is there a garage attached? 0
d. Proposed Square footage of new construction. �1_13 Dimensions�T . 0 ok
e. Number of stories?
f. Method of heating? `' ` " mac Fireplaces or Woodstoves _Number of each
g. Energy Conservation Compliance. Mascheck Energy Compliance form attached?
h. Type of construction '
i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Bull ing and Zoning regulations? d` Yes No .
I. Septic Tank City Sewer Private well City water Supply
p —�
CTION a-OWNER AUTHORIZATION -TO BE COMPL)=TO WHEN
Q NEf�S AG1rMt OR CONTRACTOR°ApPL11=S-FQR Oull.DING,pERIMit
I, h�L7'( Z,1/ )41TH lJ� ��� ��� as Owner of the subject property
v
hereby authorize r��� f �` �` �" "A'fG' to act on
my behalf, in all matters relative to work auth ized by this building permit application.
L 1 L3
Signature of Owner Date
as Owner/Authorized Agent
hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my
knowledge and belief.
Signed under the pains and penalties of perjury.
Print Name
Q
Signature of Owner/Agent Date
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATION
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side L.'
�' R: > L: R:
Rear
Building Height ??U
c7
Bldg. Square Footage % 30
Open Space Footage %
(Lot area minus bldg&paved 0 arkin �J
#of Parking Spaces
Fill:
volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW
YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained Date Issued:
C. Do any signs exist on the property? YES NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property?YES _
No
IF YES, describe size, type and location:
r n
ity of Northampton
20Q, Building Department
FJUL 2 212 Main Street
Room 100
DEPT OF BUILDING INSPECTIONS No th a m pto n, MA 01060
NORTN.hV oN Ma P 587 1240 Fax 413-587-1272
pe hz
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION L=SITE INFORMATION `
This section to be completed by office
1.1 Property Address:
I �? .�,�^ ; Map L`ot Unit
Zon ' m 'Overlay District
Elm Sf. District' CB°District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED°AGENT
2.1 Owner of Record:
QL-- lo a6we-.57,5-�' -L40
N me(Print) Curren Mailing Address: �24
Telephone
Signature
2.2 Authorized Agent:
POW4NC-L4 -A-3
Name(Print) Current Maili1ntgA�dpre�ss:
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by ermit applicant
1. Building 6,0 000 C (a) Building Permit Fee
2. Electrical 4 Ga (b) Estimated Total Cost of
Construction from 6
3. Plumbing OD Building Permit Fee
4 Mechanical (HVAC)
5. Fire Protection
r `"'
6. Total = (1 + 2 + 3 + 4 + 5) � ) Check Number
This Section For Official Use Only
Building Permit Number: Date Issued:
Signature:
Building-Commissioner/Inspector of Buildings Date
File#BP-2002-0003
APPLICANT/CONTACT PERSON SCAFIDI PAUL E&LETITIA M SMI
ADDRESS/PHONE 10 HOWES ST
PROPERTY LOCATION 10 HOWES ST
MAP 17A PARCEL 168 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Tweof Construction: 528 SQUARE FOOT ADDITION-3 BEDROOMS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License
3 sets of Plans/Plot Plan
THE FO LOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION PRESENTED:
pproved Denied
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan OR Special Permit and Site Plan
Major Project: Site Plan OR Special Permit and Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Co on
Signature of Building OftlCial Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
�u.
"14 0T' Plumbing Building ❑ Electrical ❑
City of Northampton
BUILDING INSPECTION LABEL
APPROVED
� Inspector_ „/1 '
Dated!L1-L
10 HOWES ST BP-2002-0003
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17A- 168 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Categzorv: BUILDING PERMIT
Permit# BP-2002-0003
Project# JS-2002-0005
Est.Cost: $69750.00
Fee: $376.60 PERMISSION IS HEREBY GRANTED TO
Const.Class: Contractor: License:
Use Group: THEODORE TARALINKOF 053564
Lot Size(sq.ft.): 10236.60 Owner: SCAFIDI PAUL E&LETITIA M SMI
Zoning.URB Applicant. THEODORE TARALINKOF
AT. 10 HOWES ST
Applicant Address: Phone: Insurance:
109 POMEROY MEADOW RD (413) 529-2648
SOUTHAMPTONMA01073 ISSUED ON.•7 151010:00:00
TO PERFORM THE FOLLOWING WORK:528 SQUARE FOOT 24 X 22 ADDITION- 3
BEDROOMS
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings
Underground: Service:, Meter:
�/fio�E J.t 1+1t 0l 440otings: _
Rou h: Z Mouse# Foundation:
Final: eAWfAo.� `/ti/Ct2 n
Rough Frame:®k /Q-L�-0 114�
Gas Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final: 9 L L k /I- a F-at
fk c.t- ink f_afr-o oZ`Z
THIS PERMIT MAY BE REVOKED BY THE CITY F NORTHAMPTON UPON VIOLAWON OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occul2ancy si nature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
Building 7/5/010:00:00 2617 $376.60
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo